[The place of second-look laparoscopy in monitoring treatment of advanced malignant ovarian neoplasms].
The role of second-look laparotomy in management of advanced ovarian cancer is still controversial. One of the arguments against this method is the risk of this wide operation. Replacement of second-look laparotomy by laparoscopy maybe the way to minimize that risk. The aim of this report is the comparison of second-look laparotomy and laparoscopy. The prospectively gathered material consists of 56 women with ovarian cancer, 17 of them were qualified for second-look procedures. Laparoscopy was the first step in this procedure. In 5 patient the residual malignancy in abdominal cavity was found. In 11 there were no evidence of the disease, and in 1 case laparoscopic inspection was impossible. When the laparoscopy was negative or impossible the second-look laparotomy was performed. Only in one case after negative laparoscopy the evidence of malignancy during laparotomy was found. In our opinion: 1) Positive second-look laparoscopy is equivalent to laparotomy and permits to avoid it. 2) The negative second-look laparoscopy with its contemporary technique still requires the subsequent laparotomy.
Skret
A
A
Oddziału Ginekologii i Połoznictwa Wojewódzkiego Szpitala Nr 1 w Rzeszowie.
Kluza
R
R
Fabisiak
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D009367:Neoplasm Staging; D018365:Neoplasm, Residual / Q000175:diagnosis / Q000601:surgery; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000628:therapy*; D011446:Prospective Studies; D018714:Radiotherapy, Adjuvant; D012086:Reoperation
Miejsce second-look laparoskopii w monitorowaniu leczenia zaawansowanych postaci nowotworów złośliwych jajnika.